Outcomes After Laparoscopic Radical Prostatectomy Versus da Vinci Robot-Assisted Laparoscopic Radical Prostatectomy

Purpose The study aimed to compare perioperative outcomes, early biochemical results, and recovery of urinary continence following laparoscopic radical prostatectomy (LRP) with da Vinci robot-assisted LRP (RALRP) in a group of men with favorable low- and intermediate-risk localized prostate cancer at a single hospital center. Materials and methods In this retrospective longitudinal study, we analyzed the clinical data of 48 patients with prostate cancer. Among them, 34 intervened with LRP and 14 with RALRP using the da Vinci system at Angeles del Carmen Hospital in Guadalajara, Mexico, from March 2023 to July 2025. The variables included were patient demographics and clinical and surgical data. Statistical analyses comprised both descriptive and parametric tests. Results Median age was 66 years. RALRP demonstrated longer operative time (198 min vs. 129 min, p≤0.001) and more blood loss (100-500 mL, 88% vs. 64% in RALRP, p=0.02). Continence recovery at 3 months was 70% after RALRP, compared with 65% after LRP and >90% at 12 months in both groups. At six-month follow-up, 95% had a prostate-specific antigen (PSA) level <0.2 ng/mL; no patient required salvage therapy. Conclusions In our study, both surgical techniques yielded good oncological results, with patients in both groups showing PSA levels indicating cure. However, continued follow-up of the population and an increased sample size are necessary.